• Director of Service Delivery

    Prime Therapeutics (Madison, WI)
    …constituents **Preferred Qualifications** + Integrated health system or health plan experience + Medicare Part D and B experience + Call center or call center ... operations experience **Physical Demands** + Ability to travel up to 25% of the time + Ability to work a flexible schedule including weekends, holidays, overtime, on-call, and shifts outside of Prime's core business hours of 9:00 am to 3:00 pm + Constantly… more
    Prime Therapeutics (06/24/25)
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  • Nurse Practitioner or Physician Assistant…

    Marshfield Clinic (Marshfield, WI)
    …been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately ... notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program** **.** **Marshfield Clinic Health System is an Equal** **Opportunity/Affirmative** **Action employer.… more
    Marshfield Clinic (06/21/25)
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  • Nurse Practitioner or Physician Assistant…

    Marshfield Clinic (Beaver Dam, WI)
    …been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately ... notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program** **.** **Marshfield Clinic Health System is an Equal** **Opportunity/Affirmative** **Action employer.… more
    Marshfield Clinic (06/19/25)
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  • Lead Analyst, Claims / Regulatory Compliance

    Molina Healthcare (Kenosha, WI)
    …experience on researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding experience is ... highly preferred. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 7-9 years **Preferred Education** Graduate Degree or equivalent experience **Preferred Experience**… more
    Molina Healthcare (06/18/25)
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  • Physician - OBGYN - Laborist

    Marshfield Clinic (Marshfield, WI)
    …been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately ... notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.** **Marshfield Clinic Health System is an Equal** **Opportunity/Affirmative** **Action employer. All… more
    Marshfield Clinic (06/17/25)
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  • Underwriting Manager | Avera Health Plan

    Avera (Madison, WI)
    …within designated authority limits. + Conduct risk assessments for group and Medicare Supplement health plan accounts. + Provide insights on risk profiles and ... recommend strategies to mitigate adverse selection. + Support the development of underwriting models in collaboration with internal/external actuarial services. + Partner with sales and marketing teams to support new business opportunities and renewals. +… more
    Avera (06/15/25)
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  • Anesthetist/CRNA - In House

    Marshfield Clinic (Eau Claire, WI)
    …been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately ... notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program** **.** **Marshfield Clinic Health System is an Equal** **Opportunity/Affirmative** **Action employer.… more
    Marshfield Clinic (06/14/25)
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  • Nurse Navigator - Oncology

    Marshfield Clinic (Marshfield, WI)
    …been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately ... notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program** **.** **Marshfield Clinic Health System is an Equal** **Opportunity/Affirmative** **Action employer.… more
    Marshfield Clinic (06/12/25)
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  • Supervisor - Central Sterile Processing

    Marshfield Clinic (Eau Claire, WI)
    …been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately ... notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program** **.** **Marshfield Clinic Health System is an Equal** **Opportunity/Affirmative** **Action employer.… more
    Marshfield Clinic (06/12/25)
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  • Claims Adjuster I Workers Compensation I CA…

    Sedgwick (Madison, WI)
    …deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business + Excellent ... oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skill + Good interpersonal skills + Excellent negotiation skills + Ability to work in… more
    Sedgwick (06/12/25)
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